Medical Coding & Data Quality Auditor

Internationalinsuranceprofessionals; Arizona; On-site; USD 38,000 - 81,000; Full time

Benefits offered by this job

Comprehensive benefits

Health insurance

Paid time off

Job summary

CVS Health is seeking a Medical Records Auditor to audit and abstract provider and vendor records for CMS ICD codes. You will validate risk adjustment documentation, ensuring compliance with state and federal regulations and internal policies.

Responsibilities include leveraging medical terminology, meeting tight deadlines, and communicating findings to providers while upholding HIPAA privacy and security standards.

Qualifications

• CPC or CCS-P credentials required.
• Proficient with ICD coding and medical record abstractions.
• 1 year of related experience in medical record documentation review or auditing.

Responsibilities

• Audit and abstract provider and vendor medical records to identify CMS ICD codes.
• Ensure codes support risk adjustment and comply with regulations.
• Maintain timely completion of audits per project deadlines.
• Communicate findings to providers and maintain HIPAA compliance.

Skills

CPC/CCS-P credential

ICD coding knowledge

HIPAA compliance

Medical record abstraction

Education

AA/AS or equivalent

CPC/CCS-P training completion

Tools

Microsoft Office

Job description

CVS Health is seeking a Medical Records Auditor to audit and abstract provider and vendor records for CMS ICD codes. You will validate risk adjustment documentation, ensuring compliance with state and federal regulations and internal policies.

Responsibilities include leveraging medical terminology, meeting tight deadlines, and communicating findings to providers while upholding HIPAA privacy and security standards.